- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $36.31 / $102.33
| Facility | | $14.13 | $36.31 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $15.85 / $22.91
| Professional | | $12.02 | $15.85 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $9.77 / $11.75
| Professional | | $7.41 | $9.77 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $66.07 / $114.82
| Facility | | $26.30 | $66.07 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $10.72 / $18.20
| Professional | | $5.01 | $10.72 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $19.50 / $22.39
| Facility | | $19.50 | $19.50 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $40.74 / $91.20
| Facility | | $17.78 | $40.74 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $13.80 / $33.11
| Professional | | $10.47 | $13.80 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.50 / $95.50 / $112.20
| Facility | | $95.50 | $95.50 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $19.50 / $36.31
| Facility | | $14.79 | $19.50 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $17.38 / $25.12
| Professional | | $10.96 | $17.38 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $16.60 / $16.60
| Professional | | $14.79 | $16.60 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $19.50 / $57.54
| Facility | | $15.49 | $19.50 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $14.13 / $33.11
| Professional | | $10.96 | $14.13 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $11.75 / $19.50
| Facility | | $7.08 | $11.75 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $11.48 / $27.54
| Professional | | $8.13 | $11.48 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $19.50
| Professional | | $7.59 | $7.59 | $19.50 |